Goal adjustment influence on psychological well‐being following advanced breast cancer diagnosis

Lam, Wendy Wing Tak; Park, Yeon Hee; Suen, Joyce; Ho, Wai–Kuen; Tsang, Janice; Soong, I.; Yau, TK; Wong, Ka Yan; Sze, Wing Kin; Ng, Aik Seng; Kwong, Ava; Suen, Dacita; Fong, Daniel Yee Tak; Ho, Stephanie G Y; Fielding, Richard

doi:10.1002/pon.3871

Cited by 29 publications

(36 citation statements)

References 37 publications

(65 reference statements)

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“…Illness perception identity, which was measured by the number of symptoms that the patient perceived to be part of the illness, predicted greater psychological distress . In 1 study, goal engagement predicted lower levels of anxiety but did not predict depression or quality of life . A passive decisional preference did not predict quality of life …”

Section: Resultsmentioning

confidence: 80%

“…39 Neuroticism predicted more psychological distress 47 and worse quality of life. 40 Pessimism, 54 hope, 53 agreeableness, and conscientiousness 40 were not significant predictors of psychosocial adjustment.…”

Section: Personality Traitsmentioning

confidence: 88%

“…47 In 1 study, goal engagement predicted lower levels of anxiety 52 but did not predict depression or quality of life. 53 A passive decisional preference did not predict quality of life. 34…”

Section: Cognitive and Perceptual Factorsmentioning

confidence: 92%

“…28,52 In 2 studies, trait anxiety did not predict quality of life. 34,40 Optimism predicted better quality of life, 16 more positive affect, 52 and lower levels of anxiety, 43,53,54 depression, 39,43,53,54 and psychological distress. 39 Neuroticism predicted more psychological distress 47 and worse quality of life.…”

Section: Personality Traitsmentioning

confidence: 98%

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Psychological adjustment after breast cancer: a systematic review of longitudinal studies

2016

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Objectives: Breast cancer (BC) can be a traumatic and stressful experience for women but there are wide-ranging differences in the ways in which women respond and adapt to BC. This systematic review examines which sociodemographic, disease-related, and psychosocial factors near diagnosis predict later psychological adjustment to BC. Methods:Database searches were conducted in nine different health-related databases from 2000 to December 2015 using relevant search terms. Full-text, peer-reviewed articles in English that analyzed potential predictors of psychological adjustment in longitudinal studies were considered for inclusion.Results: Of 1780 abstracts 41 studies fulfilled inclusion criteria. Consistent sociodemographic and disease-related variables predictors of adjustment were income, fatigue, cancer stage, and physical functioning. Psychosocial factors, particularly optimism and trait-anxiety, as well as perceived social support, coping strategies, and initial levels of psychological functioning were found to be predictive of later depressive and anxiety symptoms, psychological distress, and quality of life for women with BC, in predictable ways. Other psychosocial variables, such as cognitive and body image factors, predicted psychological adjustment but were explored only by a few studies. Conclusions:The majority of studies showed a significant relationship between psychosocial factors and psychological adjustment. These results point to specific sociodemographic, disease-related, and psychosocial factors that can help to identify women at the time of diagnosis who are at risk for long-term psychological challenges so they can be referred for psychological support that targets their specific needs and can improve their quality of life and mood, and decrease indicators of anxiety, depression and psychological distress.

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Section: Resultsmentioning

confidence: 80%

Section: Personality Traitsmentioning

confidence: 88%

Section: Cognitive and Perceptual Factorsmentioning

confidence: 92%

Section: Personality Traitsmentioning

confidence: 98%

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Psychological adjustment after breast cancer: a systematic review of longitudinal studies

2016

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“…Las pacientes optimistas perciben un mayor control de la situación y presentan estilos de vida más saludables (10,11) . En pacientes de cáncer de mama avanzado, el optimismo se asocia a una mejor calidad de vida psicológica (12) . Las mujeres con cáncer de mama más optimistas consideran que pasar por la situación de enfermedad les aporta un crecimiento y perciben beneficios de la situación (13)(14)(15) .…”

Section: Introductionunclassified

Propuesta de un instrumento para la detección del optimismo estratégico en cáncer de mama

Pujol

Guiteras

2019

PSIC

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Objetivo: Elaborar un instrumento que nos permita evaluar algunas estrategias cognitivas que formarían parte de las personas optimistas ante una dificultad de salud como el cáncer de mama. Método: 96 pacientes, de ellas 30 se encontraban en una fase de intervalo libre del cáncer de mama, 35 recibiendo tratamiento activo para el cáncer de mama y 31 tenían un diagnóstico de trastorno adaptativo sin historial médico oncológico. Se han comparado los mecanismos cognitivos del instrumento para valorar el optimismo estratégico entre los grupos de salud; se ha efectuado el análisis factorial del instrumento y se ha observado la relación de éste con variables como la calidad de vida y el optimismo disposicional en cada grupo. Resultados: el análisis factorial muestra cuatro componentes del total de ítems del optimismo estratégico: 1) Expectativas de resultado positivo y percepción de control ante la dificultad de salud; 2) Valoración positiva del pasado en el momento actual de salud; 3) Benefit finding a raíz de la enfermedad; y 4 ) Responsabilidad/culpabilidad por la situación de salud. La varianza total explicada por los factores es del 70,67%. Los factores del optimismo estratégico estarían relacionados con una mejor calidad de vida de las pacientes (p<0,01; r= 0,591), mostrando relaciones variables en función de la gravedad de la situación médica. Conclusión: el instrumento aportado para evaluar el optimismo estratégico permite identificar estilos cognitivos, relacionados con el mantenimiento de la calidad de vida en cáncer de mama, que pueden ser de utilidad para potenciar las terapias psicológicas de apoyo.

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Acculturation and quality of life among Chinese American breast cancer survivors: The mediating role of self‐stigma, ambivalence over emotion expression, and intrusive thoughts

Tsai

Lü

2019

Psycho-Oncology

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Objectives: Highly acculturated Chinese American breast cancer survivors have greater access to health care providers, are English language proficient, and have more knowledge about the health care system. However, less is known about the potential psychosocial factors that may account for the health benefits of acculturation. As such, the current study seeks to understand how mainstream acculturation is associated with higher quality of life by investigating self-stigma, ambivalence over emotion expression (AEE), and intrusive thoughts, as serial mediators among Chinese breast cancer survivors.Methods: One hundred twelve Chinese American breast cancer survivors completed a self-reported questionnaire with these trait variables.Results: We found support for a serial multiple mediation hypothesis in which mainstream acculturation was indirectly associated with quality of life through selfstigma, AEE, and intrusive thoughts. Specifically, mainstream acculturation was associated with lower self-stigma, which, in turn, was associated with lower AEE and intrusive thoughts and subsequently resulted in lower quality of life among Chinese American breast cancer survivors. Conclusions:The findings suggest that psychosocial factors are important mechanisms through which acculturation is associated with quality of life among Chinese American breast cancer survivors. As Chinese immigrants acculturate to mainstream American culture, they may benefit from the reduced public stigma toward breast cancer and incorporate new post-immigration knowledge about cancer that protects them from high levels of self-stigma. This, in turn, may lead Chinese American breast cancer survivors to experience lower AEE and intrusive thoughts and subsequently experience higher quality of life. KEYWORDS acculturation, ambivalence over emotional expression, cancer, Chinese, intrusive thoughts, oncology, quality of life, self-stigma

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Goal adjustment influence on psychological well‐being following advanced breast cancer diagnosis

Abstract: Goal disengagement and reengagement are two relatively independent processes influencing psychological well-being. These findings will help clinicians to tailor specific interventions to help women coping with the diagnosis of ABC.

Cited by 29 publications

References 37 publications

Psychological adjustment after breast cancer: a systematic review of longitudinal studies

Psychological adjustment after breast cancer: a systematic review of longitudinal studies

Propuesta de un instrumento para la detección del optimismo estratégico en cáncer de mama

Acculturation and quality of life among Chinese American breast cancer survivors: The mediating role of self‐stigma, ambivalence over emotion expression, and intrusive thoughts

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